- Amgen (Thousand Oaks, CA)
- …and contract enforcement, advising and managing commercial dispute resolution + Supporting healthcare compliance related matters as they relate to implementation ... concession strategies and risk mitigation with members of the healthcare community ( managed care organizations, hospitals, Group...a plus but not required, including counseling on: + Healthcare fraud and abuse matters + OIG compliance… more
- Mount Sinai Health System (New York, NY)
- …implementation of the care delivery system. Ensures that personnel/labor issues are managed in compliance with contractual agreements and support positive ... Model to meet evidence-based practice standards, national patient safety goals, and regulatory requirements. Serves as an advisor to the CNO and Nursing Leadership… more
- Beth Israel Lahey Health (Boston, MA)
- …required. 8. Develop, implement, and adhere to HIM operational procedures to assure regulatory compliance and achievement of system goals. 9. Provide management, ... with electronic health record implementation and management. Familiarity with regulatory compliance in health information management **Dept./Unit-Specific… more
- Houston Methodist (Houston, TX)
- …state, local and federal programs + Skill-specific areas include: regulatory requirements, pathway development/ implementation, ethics/ healthcare law, clinical ... comprehensive manner. + Works with physician leadership and the interprofessional healthcare team for defined patient populations to develop clinical pathways,… more
- US Tech Solutions (RI)
- …to obtain additional information. + Evaluates documentation/information to determine compliance with clinical policy, regulatory and accreditation guidelines. ... systems to apply appropriate clinical criteria and policies in line with regulatory and accreditation requirements for member and/or provider issues. + Independently… more
- YesCare Corp (Decatur, AL)
- … delivery system in a correctional setting, ensuring high-quality medical services, regulatory compliance , and effective management of resources. The HSA will ... responsibilities for urgent matters. + Ensure confidentiality in all aspects of healthcare management, in compliance with regulations. + Perform other duties… more
- Centene Corporation (Queens, NY)
- …plans. + Work with colleagues across business units such as Care Management and Regulatory Compliance to ensure that process and procedural changes are reflected ... and monitor timeliness in accordance with the Fidelis Care's policies and regulatory standards, ensuring adherence to departmental and regulatory data integrity… more
- The Cigna Group (Bloomfield, CT)
- …support from leadership staff. + Achieves internal customer satisfaction and regulatory /accreditation agency compliance goals by assuring both timely turn-around ... **Position scope:** Primarily regional with national level case work for Cigna Healthcare (CHC) -- Cigna. **Summary description of position** : A Medical Principal… more
- US Tech Solutions (May, OK)
- …to obtain additional information. + Evaluates documentation/information to determine compliance with clinical policy, regulatory and accreditation guidelines. ... to apply appropriate clinical criteria and policies in line with regulatory and accreditation requirements for member and/or provider issues. Independently… more
- Beth Israel Lahey Health (Cambridge, MA)
- …of the pharmacy department. 32. Evaluates departmental and hospital policy and practice compliance with regulatory agencies (eg, Joint Commission) as well as ... ordering, receiving, storage, distribution, administration, returns, and wasting) and ensure compliance with regulatory requirements throughout the Hospital by… more